If this is a medical emergency, or if you need immediate assistance, please call 911. This is not monitored after 4pm or on the weekends. Please let us know if you have concerns or problems that need to be addressed by completing the following form. Reporter's Name * Reporter's Email * Reporter's Phone * Reporter's Address Address of Complaint * Owner's Name Owner's Phone Animal Name Animal Species * Animal Breed Animal Color * Incident Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Incident Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Description of Concern or Problem * Leave this field blank